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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Neonatal Pharmacology and Therapeutics- Medication administration in neonates
- Drug safety, dosing considerations, and pharmacokinetics
High-Risk Neonatal Management- Prematurity-related complications
- Respiratory distress and ventilation management
- Infectious diseases in neonates
Neonatal Health Assessment- Identification of normal vs abnormal findings
- Physical and neurological assessment of the newborn
Family-Centered Care and Ethics- Ethical and legal considerations in neonatal care
- Parent education and communication
Neonatal Physiology and Pathophysiology- Respiratory adaptation and disorders
- Cardiovascular adaptation and congenital conditions
- Thermoregulation, metabolism, and fluid balance

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q93-Q98):

NEW QUESTION # 93
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is

Answer: B

Explanation:
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.


NEW QUESTION # 94
An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is

Answer: A

Explanation:
With a diaphragmatic hernia, the diaphragm becomes weakened and this can result in the stomach and other abdominal contents expending into the chest cavity. This, along with the weakened diaphragm, can result in a decreased ability to breathe. If detected in the prenatal period, assistance can standby during delivery to begin resuscitative measures promptly and improve the chances for survival.


NEW QUESTION # 95
Which of the following is a defect in chromosome 22?

Answer: B

Explanation:
DiGeorge syndrome occurs when there is a mutation to chromosome 22 during fetal development. It results in an immunodeficiency disorder that affects the thymus gland and the production of T -lymphocyte cells. This results in frequent infections, congenital heart defects, and hypocalcemia. This syndrome also causes characteristic facial features with an underdeveloped chin, heavy eye lids, ears that are rotated back and small upper ear lobes.


NEW QUESTION # 96
The mechanism of action of surfactant is to

Answer: A

Explanation:
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.


NEW QUESTION # 97
The purpose of quality improvement is to

Answer: C

Explanation:
Quality improvement is instrumental in improving the way healthcare services are provided, while continually measuring the effect those changes have on the health status of the patients served. This is often measured through patient satisfaction information.


NEW QUESTION # 98
......

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